| NPI | 1508501123 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: KS 94-10925) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MO 2026010460) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: KS 94-10925) | |
| Enumeration Date | 2022-04-28 |
| Last Update Date | 2026-04-24 |