NPI | 1184281644 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: KS 04-46433) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: KS 94-09806) |
Enumeration Date | 2019-05-21 |
Last Update Date | 2022-07-18 |