| NPI | 1083143176 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: KS 0443024) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2017016930) |
| Enumeration Date | 2017-06-12 |
| Last Update Date | 2020-06-23 |