| NPI | 1740695345 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301112327) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KS 9408468) |
| Enumeration Date | 2014-06-23 |
| Last Update Date | 2021-03-18 |