| NPI | 1336375765 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WI 57637 - 20) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 57637 - 20) |
| 207L00000X Anesthesiology (Licence: WI 57637 - 20) | |
| Enumeration Date | 2009-05-29 |
| Last Update Date | 2015-03-07 |