| NPI | 1134340276 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AR E-5961) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: KS 0432761) |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2023-04-12 |