| NPI | 1922460559 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: KS 0440805) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KS 94-08954) |
| Enumeration Date | 2016-03-23 |
| Last Update Date | 2019-07-19 |