| NPI | 1730440603 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OK 42509) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: KS 9407853) |
| Enumeration Date | 2012-06-06 |
| Last Update Date | 2024-01-08 |