| NPI | 1013973395 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OH 35.077714) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 34077714M) |
| 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: OH 35.077714) | |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2024-02-07 |