| NPI | 1841647302 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WI 68228-20) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 6165) |
| Enumeration Date | 2016-05-15 |
| Last Update Date | 2021-01-20 |