| NPI | 1932194925 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: KS 04-26796) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO MD R3N32) |
| Enumeration Date | 2005-09-15 |
| Last Update Date | 2018-04-06 |