| NPI | 1457631590 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: DE C1-0012918) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD449037) |
| Enumeration Date | 2011-08-21 |
| Last Update Date | 2019-10-22 |