| NPI | 1821062514 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: ND 10868) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SD 5030) |
| Enumeration Date | 2006-02-17 |
| Last Update Date | 2012-03-13 |