| NPI | 1275862450 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: KS 05-49159) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO 51023) |
| 207R00000X Internal Medicine (Licence: CO TL3359) | |
| Enumeration Date | 2009-12-16 |
| Last Update Date | 2024-07-30 |