NPI | 1093129090 |
---|---|
Former Name | BRANDY MCKINNEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OK 30832) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: OK 30832) |
Enumeration Date | 2014-06-17 |
Last Update Date | 2024-02-22 |