| NPI | 1083672786 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: GA 057540) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 35.123208) |
| Enumeration Date | 2006-05-02 |
| Last Update Date | 2022-05-24 |