| NPI | 1710117296 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: KS 0435875) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2016008541) |
| Enumeration Date | 2009-07-20 |
| Last Update Date | 2023-12-28 |