| NPI | 1538671789 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: KS 94-09424) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: KS 94-09424) |
| Enumeration Date | 2017-10-27 |
| Last Update Date | 2017-11-14 |