| NPI | 1821389180 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: KS 04-35785) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: KS 04-35785) |
| Enumeration Date | 2011-04-21 |
| Last Update Date | 2023-04-18 |