| NPI | 1770540221 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OK 15349) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MT 113030) |
| 207P00000X Emergency Medicine (Licence: UT 12846203-1205) | |
| 207P00000X Emergency Medicine (Licence: ID M-16685) | |
| 208D00000X General Practice (Licence: OK 15349) | |
| Enumeration Date | 2006-04-27 |
| Last Update Date | 2025-12-10 |