| NPI | 1639597362 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: KS 04-42343) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KS 04-42343) |
| Enumeration Date | 2014-03-31 |
| Last Update Date | 2019-08-09 |