| NPI | 1194767327 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OK R0073110) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OK R0073110) |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2016-06-30 |