| NPI | 1578050571 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OK 33878) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO 67637) |
| Enumeration Date | 2018-04-16 |
| Last Update Date | 2025-04-25 |