| NPI | 1386611515 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AK 139802) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR MD25598) |
| Enumeration Date | 2006-03-07 |
| Last Update Date | 2019-11-08 |