| NPI | 1528215589 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OK 26631) |
| Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine (Licence: OK 26631) |
| Enumeration Date | 2008-08-21 |
| Last Update Date | 2022-05-31 |