| NPI | 1710112370 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OK 27011) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: TX P3473) |
| Enumeration Date | 2009-05-26 |
| Last Update Date | 2024-11-14 |