| NPI | 1285625277 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: KS 04-30425) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2004015371) |
| Enumeration Date | 2005-10-31 |
| Last Update Date | 2022-07-21 |