| NPI | 1013369040 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OH 35.140243) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MO 2016022707) |
| Enumeration Date | 2016-07-01 |
| Last Update Date | 2021-06-18 |