NPI | 1770540221 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OK 15349) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: ID M-16685) |
207P00000X Emergency Medicine (Licence: UT 12846203-1205) | |
207P00000X Emergency Medicine (Licence: MT 113030) | |
208D00000X General Practice (Licence: OK 15349) | |
Enumeration Date | 2006-04-27 |
Last Update Date | 2022-10-25 |