| NPI | 1669297859 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: KS 94-12721) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KS 94-12721) |
| Enumeration Date | 2024-11-21 |
| Last Update Date | 2026-06-19 |