| NPI | 1366060238 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: KS 9411263) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2020015727) |
| Enumeration Date | 2020-07-08 |
| Last Update Date | 2023-06-30 |