| NPI | 1972950376 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL OS18436) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KS 94-08926) |
| Enumeration Date | 2016-05-16 |
| Last Update Date | 2023-03-23 |