| NPI | 1578914966 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: KS 04-41860) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA R10588) |
| Enumeration Date | 2016-06-27 |
| Last Update Date | 2023-07-10 |