| NPI | 1346280872 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: KS 0432739) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: KS 6520) |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2021-06-30 |