| NPI | 1578950671 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OK 31588) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OK 31588) |
| Enumeration Date | 2015-04-16 |
| Last Update Date | 2023-08-07 |