| NPI | 1073744207 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OK 28341) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: KY R1983) |
| Enumeration Date | 2009-08-05 |
| Last Update Date | 2017-04-05 |