| NPI | 1710099379 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WI 50450) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD d0064047) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2014-10-01 |