| NPI | 1114347564 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OH 35.127732) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WI 14570-320) |
| 207P00000X Emergency Medicine (Licence: IL 036177939) | |
| Enumeration Date | 2014-04-24 |
| Last Update Date | 2026-04-03 |