| NPI | 1396802351 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AL 28973) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OK 24664) |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2021-01-27 |