| NPI | 1396797759 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OR MD217669) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: KS 04-30361) |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2024-01-24 |