| NPI | 1720119456 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: KS 31773) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: KS 31773) |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2023-05-24 |