NPI | 1679935837 |
---|---|
Former Name | KATHRYN KOONS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OK 38412) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 302444) |
Enumeration Date | 2016-03-25 |
Last Update Date | 2021-08-27 |