| NPI | 1306133541 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OK 5100) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX P7806) |
| Enumeration Date | 2011-07-08 |
| Last Update Date | 2018-08-22 |