| NPI | 1609837293 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: KS 0442729) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 204004) |
| Enumeration Date | 2006-03-31 |
| Last Update Date | 2021-04-07 |