| NPI | 1235543141 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OK 6172) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MO 2014019165) |
| Enumeration Date | 2014-06-18 |
| Last Update Date | 2022-07-21 |