| NPI | 1205278306 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: KS 04-37855) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2016008704) |
| Enumeration Date | 2013-07-18 |
| Last Update Date | 2023-11-20 |