| NPI | 1033649843 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: KS 94-09323) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A183208) |
| Enumeration Date | 2017-06-14 |
| Last Update Date | 2022-12-01 |