| NPI | 1730139775 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: KS T-00514) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: KS 0431907) |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2009-11-25 |