| NPI | 1073756045 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: OK 39061) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO DR0051260) |
| Enumeration Date | 2009-04-07 |
| Last Update Date | 2026-01-07 |