| NPI | 1912971433 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: KS 04-26378) |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: KS 04-26378) |
| Enumeration Date | 2006-02-13 |
| Last Update Date | 2022-10-24 |