| NPI | 1487635488 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD068215L) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: DE C1-0026870) |
| Enumeration Date | 2005-11-08 |
| Last Update Date | 2025-10-31 |