| NPI | 1174596803 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: KS 04-34763) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2010024517) |
| Enumeration Date | 2006-02-13 |
| Last Update Date | 2018-02-23 |