| NPI | 1518902279 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: KS 04-25909) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: KS 25909) |
| Enumeration Date | 2006-06-18 |
| Last Update Date | 2025-12-10 |