| NPI | 1003143918 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NM A-1944-16) |
| Additional Taxonomies | 208D00000X General Practice (Licence: OH 58.003350) |
| 207P00000X Emergency Medicine (Licence: OH 34.010921) | |
| Enumeration Date | 2009-11-13 |
| Last Update Date | 2016-06-23 |