| NPI | 1689704975 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101243511) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: DE C1-0008582) |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2011-01-20 |