| NPI | 1598080426 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: KS 05-41063) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2013020396) |
| Enumeration Date | 2010-04-03 |
| Last Update Date | 2018-07-18 |