| NPI | 1518998905 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: KS 04-31942) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: UT 5412558-1205) |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2008-07-08 |