| NPI | 1902031990 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OK 5330) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA OT012818) |
| Enumeration Date | 2009-05-20 |
| Last Update Date | 2021-10-05 |