| NPI | 1366677676 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: SC 61239) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OK 26381) |
| Enumeration Date | 2009-05-16 |
| Last Update Date | 2020-07-13 |