| NPI | 1003810789 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: KS 0450138) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 119536) |
| 208000000X Pediatrics (Licence: MO 119536) | |
| Enumeration Date | 2005-06-09 |
| Last Update Date | 2024-11-12 |