| NPI | 1689236184 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: DE C1-0025259) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT219343) |
| Enumeration Date | 2019-07-03 |
| Last Update Date | 2022-08-19 |