| NPI | 1295860500 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WI 67628-20) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036-116724) |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2020-11-12 |