| NPI | 1811122591 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OK 4945) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AR E-9713) |
| Enumeration Date | 2009-05-24 |
| Last Update Date | 2022-03-14 |