| NPI | 1063642320 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OH 35.149205) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 4301094875) |
| Enumeration Date | 2009-07-21 |
| Last Update Date | 2024-02-08 |