| NPI | 1306159744 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: KS 04-36330) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301096419) |
| Enumeration Date | 2010-07-14 |
| Last Update Date | 2013-08-22 |