| NPI | 1316350218 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IA DO-04971) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: KS 94-08370) |
| Enumeration Date | 2014-06-09 |
| Last Update Date | 2020-07-08 |