| NPI | 1235384355 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OK 42757) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: KY R1563) |
| Enumeration Date | 2008-11-18 |
| Last Update Date | 2025-01-02 |