| NPI | 1659511038 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: KS 05-34247) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2010008200) |
| Enumeration Date | 2009-02-25 |
| Last Update Date | 2018-04-05 |