| NPI | 1396061701 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MO 2013027790) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KS 05-36762) |
| Enumeration Date | 2010-04-09 |
| Last Update Date | 2017-11-10 |