| NPI | 1235118233 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA C136817) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OK 22320) |
| Enumeration Date | 2006-01-10 |
| Last Update Date | 2020-11-03 |