| NPI | 1649380635 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: DE C1-0012420) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD029863E) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2018-03-17 |