| NPI | 1083670566 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OK 35863) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AR E1452) |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2020-07-15 |