| NPI | 1447916697 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OK 205795) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OK F10210201) |
| Enumeration Date | 2021-11-11 |
| Last Update Date | 2021-11-11 |