| NPI | 1932516945 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MS 25885) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OK 52R) |
| Enumeration Date | 2014-07-22 |
| Last Update Date | 2020-04-08 |