| NPI | 1194562231 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: KS 94-12149) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KS 94-12149) |
| Enumeration Date | 2024-07-15 |
| Last Update Date | 2025-06-28 |