| NPI | 1083356042 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WV 4620) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 34.017867) |
| Enumeration Date | 2022-04-11 |
| Last Update Date | 2025-08-05 |