| NPI | 1295999191 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME 105120) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 68019) |
| Enumeration Date | 2008-07-10 |
| Last Update Date | 2014-11-03 |