| NPI | 1689630154 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MO R2J53) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KS 04-36982) |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2022-06-14 |