| NPI | 1881855054 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: KS 04-35123) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: KS 7043) |
| Enumeration Date | 2008-06-20 |
| Last Update Date | 2021-08-23 |