| NPI | 1972645646 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO 45240) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OK 4327) |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2025-02-18 |