| NPI | 1023040953 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OH 35136893) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: VA 0101226839) |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2021-01-20 |