| NPI | 1700815214 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA OS014093) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: DE c2-0007557) |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2012-08-15 |