| NPI | 1023438520 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OH 35.133908) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 282205) |
| Enumeration Date | 2014-04-23 |
| Last Update Date | 2018-08-03 |