| NPI | 1801090329 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OK 27633) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: GA 038217) |
| Enumeration Date | 2007-06-11 |
| Last Update Date | 2012-10-01 |