| NPI | 1477534030 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NV 9879) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: KS 0441933) |
| Enumeration Date | 2005-11-10 |
| Last Update Date | 2022-08-09 |