| NPI | 1003037615 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: KS 0431835) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KS 946203) |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2019-08-29 |