| NPI | 1558891358 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: KS 04-44876) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: KS 04-44876) |
| Enumeration Date | 2017-06-14 |
| Last Update Date | 2021-08-26 |