| NPI | 1881631356 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X (Licence: KS 04-31575) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KS 04-31575) |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2011-06-06 |