| NPI | 1831137249 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WI 21150) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: KS 04-29127) |
| 207Q00000X Family Medicine (Licence: KS 0429127) | |
| 207R00000X Internal Medicine (Licence: KS 04-29127) | |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2021-09-20 |