| NPI | 1003072919 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: SC 52516) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 35.095964) |
| Enumeration Date | 2008-07-30 |
| Last Update Date | 2018-08-31 |