| NPI | 1417145913 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: KS 0427259) |
| Additional Taxonomies | 173000000X Legal Medicine (Licence: KS 0427259) |
| 207R00000X Internal Medicine (Licence: KS 0427259) | |
| Enumeration Date | 2007-10-09 |
| Last Update Date | 2017-04-04 |