| NPI | 1619923927 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME70549) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KS 04-37962) |
| 207R00000X Internal Medicine (Licence: AL MD.32673) | |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2016-06-28 |