NPI | 1700803301 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME0129692) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: DE C10007923) |
207R00000X Internal Medicine (Licence: MD D0035609) | |
Enumeration Date | 2006-07-17 |
Last Update Date | 2017-11-22 |