| NPI | 1306370390 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME151840) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OK 32997) |
| Enumeration Date | 2017-04-17 |
| Last Update Date | 2023-06-25 |