| NPI | 1639139173 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: KS 19886) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: KS 04-19886) |
| Enumeration Date | 2006-03-27 |
| Last Update Date | 2020-04-22 |