| NPI | 1801203021 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OK 5833) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OK 0053R) |
| Enumeration Date | 2014-07-21 |
| Last Update Date | 2018-05-01 |