| NPI | 1275911885 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME167434) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OK 31569) |
| Enumeration Date | 2015-05-14 |
| Last Update Date | 2025-02-17 |