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 |