| NPI | 1730341918 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: SC 32279) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OK 25031) |
| Enumeration Date | 2008-06-27 |
| Last Update Date | 2022-11-30 |