| NPI | 1740372390 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: KS 04-26271) |
| Additional Taxonomies | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: KS 04-26271) |
| 208000000X Pediatrics (Licence: KS 04-26271) | |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2019-09-20 |