| NPI | 1598943821 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: KS 05-36993) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MN 52377) |
| Enumeration Date | 2008-02-08 |
| Last Update Date | 2023-07-13 |