NPI | 1811304348 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: KS 0539764) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: MO 2014022168) |
Enumeration Date | 2014-07-16 |
Last Update Date | 2017-04-12 |