| NPI | 1346866746 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OK 40148) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MO 2020017703) |
| Enumeration Date | 2020-06-22 |
| Last Update Date | 2022-11-02 |