| NPI | 1902983661 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OK 4105) |
| Additional Taxonomies | 207RS0010X Internal Medicine, Sports Medicine (Licence: OK 4105) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2008-05-16 |