| NPI | 1710119003 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A117393) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: DE C1-0010030) |
| Enumeration Date | 2009-08-20 |
| Last Update Date | 2022-12-08 |