| NPI | 1972682722 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: DE C10006971) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA C133462) |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2015-11-11 |