| NPI | 1790147221 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OK 46517) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AR E-12074) |
| Enumeration Date | 2016-03-23 |
| Last Update Date | 2025-12-30 |