| NPI | 1508884818 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207PE0005X Emergency Medicine, Undersea and Hyperbaric Medicine (Licence: OK 18962) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OK 18962) |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2022-09-19 |