| NPI | 1043411127 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MD D0070696) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 57012080) |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2013-07-26 |