| NPI | 1851735773 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 076182) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: KS 9408045) |
| Enumeration Date | 2013-04-22 |
| Last Update Date | 2022-01-10 |