| NPI | 1598867889 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OK 27657) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD Doo61106) |
| Enumeration Date | 2006-09-05 |
| Last Update Date | 2014-10-07 |