| NPI | 1760678981 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OK 25169) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: OK 25169) |
| Enumeration Date | 2007-09-20 |
| Last Update Date | 2014-10-07 |