| NPI | 1346988409 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OK 45201) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX 744899) |
| 207Q00000X Family Medicine (Licence: TX BP10078943) | |
| Enumeration Date | 2022-05-26 |
| Last Update Date | 2025-05-26 |