| NPI | 1780605717 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WI 34904) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036-085342) |
| Enumeration Date | 2006-07-23 |
| Last Update Date | 2020-12-16 |