| NPI | 1457518862 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: DE C1-0010006) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: DE C1-0010006) |
| Enumeration Date | 2008-05-22 |
| Last Update Date | 2021-01-14 |