| NPI | 1780022376 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OK 5900) |
| Additional Taxonomies | 208D00000X General Practice (Licence: FL UO 3684) |
| 208D00000X General Practice (Licence: OK 5900) | |
| 208M00000X Hospitalist (Licence: OK 5900) | |
| Enumeration Date | 2013-06-05 |
| Last Update Date | 2025-02-07 |