| NPI | 1083207963 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: KS 15-02698) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CA PA59101) |
| Enumeration Date | 2021-02-11 |
| Last Update Date | 2022-12-01 |