| NPI | 1093134884 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WI 69115-20) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 35.131817) |
| Enumeration Date | 2014-04-09 |
| Last Update Date | 2018-06-14 |