| NPI | 1700822616 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: KS 04-26064) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: KS 04-26064) |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2024-02-05 |