| NPI | 1548424484 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: KS 9407092) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CT 49835) |
| Enumeration Date | 2008-07-10 |
| Last Update Date | 2025-12-11 |