| NPI | 1659346773 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WI 40802-20) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME85235) |
| Enumeration Date | 2006-02-22 |
| Last Update Date | 2012-10-23 |