| NPI | 1376803502 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA OS017114) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: DE C2-0012748) |
| Enumeration Date | 2012-05-22 |
| Last Update Date | 2020-10-20 |