| NPI | 1275980641 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: KS 04-41850) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KS 94-08934) |
| Enumeration Date | 2016-05-16 |
| Last Update Date | 2023-03-14 |