| NPI | 1689136475 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QH0002X Family Medicine Hospice and Palliative Medicine (Licence: SC 90102) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: SC 90102) |
| 207P00000X Emergency Medicine (Licence: OK 39801) | |
| 207Q00000X Family Medicine (Licence: SC 90102) | |
| 207Q00000X Family Medicine (Licence: OK 39801) | |
| Enumeration Date | 2019-04-02 |
| Last Update Date | 2023-08-08 |