| NPI | 1093166753 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OH 34.014042) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WV 3419) |
| Enumeration Date | 2016-06-23 |
| Last Update Date | 2019-07-18 |