| NPI | 1063628600 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OH 58.001676) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OH 58001676) |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2014-09-09 |