| NPI | 1093198822 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: KS 94-08604) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KS 04-40885) |
| Enumeration Date | 2015-06-29 |
| Last Update Date | 2024-09-04 |