| NPI | 1598105629 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OK 32027) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2013013298) |
| Enumeration Date | 2013-07-03 |
| Last Update Date | 2017-07-20 |