| NPI | 1780178541 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: KS 94-09552) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MT 120249) |
| Enumeration Date | 2018-06-15 |
| Last Update Date | 2023-02-14 |