NPI | 1306293402 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: KS 04-40518) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: KS 94-08886) |
Enumeration Date | 2016-05-18 |
Last Update Date | 2019-04-19 |