| NPI | 1528034683 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OR DO203116) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: KS 31584) |
| Enumeration Date | 2006-02-27 |
| Last Update Date | 2022-07-19 |