| NPI | 1124556139 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MO 2020035046) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KS 94-09293) |
| Enumeration Date | 2017-06-03 |
| Last Update Date | 2020-11-04 |