| NPI | 1487399663 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OK 39741) |
| Additional Taxonomies | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: OK 39741) |
| 207Q00000X Family Medicine (Licence: VA 0101286384) | |
| Enumeration Date | 2022-05-02 |
| Last Update Date | 2026-09-22 |