| NPI | 1225234701 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: LA DO.000350) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: KS 0534293) |
| Enumeration Date | 2007-06-22 |
| Last Update Date | 2016-09-14 |