| NPI | 1639496037 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: KS 04-37425) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: KS 04-37425) |
| Enumeration Date | 2010-04-23 |
| Last Update Date | 2014-11-21 |