| NPI | 1710245899 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OK 5399) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OK 5399) |
| Enumeration Date | 2012-04-26 |
| Last Update Date | 2016-10-17 |