| NPI | 1285687871 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MO 2013043017) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: KS 0429784) |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2022-02-08 |