| NPI | 1467015156 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MO 2022030983) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KS 9410076) |
| Enumeration Date | 2019-04-17 |
| Last Update Date | 2023-08-08 |