| NPI | 1528137304 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OK 20095) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OK 20094) |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2013-01-29 |