| NPI | 1013989912 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OK 26003) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IA 32020) |
| Enumeration Date | 2006-02-03 |
| Last Update Date | 2024-06-04 |