| NPI | 1861735482 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OK FP4721747) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OK 5612) |
| Enumeration Date | 2013-04-02 |
| Last Update Date | 2025-03-10 |