| NPI | 1043668353 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AL DO.2030) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: KS 94-08898) |
| Enumeration Date | 2016-05-26 |
| Last Update Date | 2023-02-24 |