| NPI | 1023159522 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: KS 0431411) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2005022718) |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2011-08-29 |