| NPI | 1053307819 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OH 35-073062) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: GA 063422) |
| Enumeration Date | 2005-09-27 |
| Last Update Date | 2013-06-26 |