| NPI | 1730545922 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OK 5901) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OK 5901) |
| Enumeration Date | 2016-01-05 |
| Last Update Date | 2021-03-12 |