| NPI | 1811243009 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OK 32596) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: ND 13720) |
| 207Q00000X Family Medicine (Licence: ND RL12287) | |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: OK 32596) | |
| Enumeration Date | 2012-07-25 |
| Last Update Date | 2018-10-01 |