| NPI | 1366025207 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OK 98292) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OK 38292) |
| Enumeration Date | 2021-04-29 |
| Last Update Date | 2024-09-18 |