| NPI | 1184629230 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NV 15871) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: KS 0426388) |
| Enumeration Date | 2005-06-16 |
| Last Update Date | 2015-09-02 |