| NPI | 1861767972 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: DE c1-0012071) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 307434) |
| Enumeration Date | 2012-03-22 |
| Last Update Date | 2020-10-15 |