| NPI | 1073730149 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: VA 0101241558) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 35089032) |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2009-08-28 |