| NPI | 1194796441 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: KS 0447050) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MO MD 2001013353) |
| 207Q00000X Family Medicine (Licence: MO 2001013353) | |
| Enumeration Date | 2006-01-26 |
| Last Update Date | 2022-12-15 |