| NPI | 1932305414 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: KS 0435051) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: KS 046806) |
| Enumeration Date | 2007-06-22 |
| Last Update Date | 2019-11-26 |