| NPI | 1467931998 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: KS 04-49081) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NE 8250) |
| Enumeration Date | 2018-08-06 |
| Last Update Date | 2024-07-22 |