| NPI | 1083107452 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AR E-16541) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: KS 94-09485) |
| Enumeration Date | 2018-06-11 |
| Last Update Date | 2023-08-08 |