| NPI | 1518951904 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: KS 05-21675) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO R6E51) |
| Enumeration Date | 2005-08-31 |
| Last Update Date | 2007-07-08 |