| NPI | 1275811440 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OK 34612) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD452586) |
| Enumeration Date | 2011-07-22 |
| Last Update Date | 2019-07-10 |