| NPI | 1285128058 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: KS 04-46860) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KS 94-09624) |
| 208000000X Pediatrics (Licence: KS 04-46860) | |
| 208000000X Pediatrics (Licence: KS 94-09624) | |
| Enumeration Date | 2018-06-15 |
| Last Update Date | 2022-10-17 |