| NPI | 1245221159 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: KS 04-20883) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO R3E02) |
| Enumeration Date | 2005-10-31 |
| Last Update Date | 2017-11-17 |