| NPI | 1083908602 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL ME149190) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 35-121848) |
| Enumeration Date | 2011-05-31 |
| Last Update Date | 2021-03-02 |