| NPI | 1194179747 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: KS 04-43924) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 207QG0300X Family Medicine, Geriatric Medicine (Licence: KS 04-43924) | |
| Enumeration Date | 2016-04-20 |
| Last Update Date | 2021-05-14 |