| NPI | 1992706048 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OK 20273) |
| Additional Taxonomies | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: OK 20273) |
| 208VP0000X Pain Medicine, Pain Medicine (Licence: OK 20273) | |
| Enumeration Date | 2005-08-10 |
| Last Update Date | 2023-10-25 |