| NPI | 1841350022 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WI 44245) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036-099993) |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2017-11-16 |