| NPI | 1033309596 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OH 34010411) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA DO0001547) |
| Enumeration Date | 2007-07-30 |
| Last Update Date | 2013-05-01 |