| NPI | 1609090851 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: KS 0434684) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KS 04-34684) |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2023-12-12 |