| NPI | 1326051343 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: KS 04-31934) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2006026293) |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2011-08-29 |