| NPI | 1023513652 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MI 5101027425) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 34.015091) |
| Enumeration Date | 2018-03-26 |
| Last Update Date | 2023-06-22 |