| NPI | 1164824744 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: KS 15-01726) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: KS 1501726) |
| Enumeration Date | 2014-09-25 |
| Last Update Date | 2023-08-02 |