| NPI | 1295096162 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: KS 0538283) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KS 9407808) |
| Enumeration Date | 2012-06-06 |
| Last Update Date | 2022-07-21 |