| NPI | 1811002611 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: KS 0423090) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: KS 0423090) |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2011-03-23 |