| NPI | 1275754202 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: KS 0438218) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2007015074) |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2017-02-03 |