| NPI | 1932464765 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OK 31619) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.060878) |
| Enumeration Date | 2012-07-09 |
| Last Update Date | 2019-10-28 |