| NPI | 1003310012 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OH 34.015534) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CT 73760) |
| 207P00000X Emergency Medicine (Licence: NY 309046) | |
| 282N00000X General Acute Care Hospital | |
| Enumeration Date | 2018-03-23 |
| Last Update Date | 2023-03-24 |