| NPI | 1023310737 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OH 35099213) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MO 20170009613) |
| 207P00000X Emergency Medicine (Licence: PA mt195087) | |
| Enumeration Date | 2010-12-01 |
| Last Update Date | 2018-12-04 |