| NPI | 1598736605 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MS 19941) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OK 23977) |
| Enumeration Date | 2006-01-27 |
| Last Update Date | 2007-09-06 |