| NPI | 1306097027 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME111087) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KS 0434907) |
| Enumeration Date | 2008-10-01 |
| Last Update Date | 2020-09-23 |