| NPI | 1023018926 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: KS 04-39497) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 231044) |
| 207R00000X Internal Medicine (Licence: MO 2017010742) | |
| Enumeration Date | 2005-07-21 |
| Last Update Date | 2017-10-20 |