| NPI | 1932547742 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: DE C1-0012331) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD458601) |
| Enumeration Date | 2013-06-13 |
| Last Update Date | 2022-04-28 |