NPI | 1023698180 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 335502) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 35.152871) |
Enumeration Date | 2021-04-13 |
Last Update Date | 2025-06-19 |