| 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 |