| NPI | 1649885443 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OK 72781) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OK 200071) |
| Enumeration Date | 2020-09-09 |
| Last Update Date | 2020-10-25 |