| NPI | 1023405685 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: KS 05-43950) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: KS 05-43950) |
| 208000000X Pediatrics (Licence: KY 04229) | |
| 207R00000X Internal Medicine (Licence: KY 04229) | |
| Enumeration Date | 2015-04-22 |
| Last Update Date | 2021-01-15 |