| NPI | 1295142768 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: KS 04-44044) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY 50478) |
| 207R00000X Internal Medicine (Licence: IL 125.064434) | |
| Enumeration Date | 2014-07-16 |
| Last Update Date | 2021-06-29 |