| NPI | 1770705253 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QA0401X Family Medicine, Addiction Medicine (Licence: KS 05-33067) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: KS 0533067) |
| 207Q00000X Family Medicine (Licence: KS 0533067) | |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2021-03-02 |