| NPI | 1356390322 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: KS 04-24162) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 105320) |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2012-09-06 |