| NPI | 1033850300 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: KS 04-51269) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MO 2025037812) |
| 207Q00000X Family Medicine (Licence: OK 47215) | |
| Enumeration Date | 2022-04-02 |
| Last Update Date | 2026-05-15 |