| NPI | 1316280373 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: KS 04-42224) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: KS 04-42224) |
| Enumeration Date | 2013-03-28 |
| Last Update Date | 2025-07-30 |