| NPI | 1942460597 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OK 26576) |
| Additional Taxonomies | 208600000X Surgery (Licence: OK 26576) |
| Enumeration Date | 2008-06-16 |
| Last Update Date | 2022-07-21 |