| NPI | 1477932242 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AR E-11502) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: KS 9408590) |
| Enumeration Date | 2015-05-26 |
| Last Update Date | 2020-09-15 |