| NPI | 1710978705 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: KS 04-26499) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 111706) |
| Enumeration Date | 2005-10-31 |
| Last Update Date | 2020-11-26 |