| NPI | 1386619757 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: KS 04-37687) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2003002181) |
| Enumeration Date | 2006-02-21 |
| Last Update Date | 2026-06-08 |