| NPI | 1558756718 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: AR E-11016) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OK 43483) |
| Enumeration Date | 2015-04-03 |
| Last Update Date | 2025-07-11 |