| NPI | 1154581841 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OK 32891) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA mt190350) |
| Enumeration Date | 2008-06-16 |
| Last Update Date | 2022-07-21 |