| NPI | 1598148108 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: KS 04-40837) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 004981) |
| Enumeration Date | 2015-06-30 |
| Last Update Date | 2024-03-03 |