| NPI | 1497980254 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: KS 05-35880) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OK 4889) |
| Enumeration Date | 2009-05-22 |
| Last Update Date | 2014-05-20 |