| NPI | 1467560516 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: KS 417719) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: KS 0417719) |
| Enumeration Date | 2006-08-28 |
| Last Update Date | 2012-09-12 |