| NPI | 1578501474 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: KS 04-29924) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA C54243) |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2016-01-25 |