| NPI | 1053336420 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WV 1970) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA OT010286) |
| 207P00000X Emergency Medicine (Licence: OH 58.001256) | |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2023-05-18 |