| NPI | 1932460854 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X (Licence: KS 94-10768) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 252885) |
| Enumeration Date | 2012-06-07 |
| Last Update Date | 2026-07-10 |