| NPI | 1003022807 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OH 35092915) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 57010284) |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2021-12-27 |