| NPI | 1194720359 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OK 30461) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AR E0906) |
| Enumeration Date | 2005-06-15 |
| Last Update Date | 2017-07-19 |