| NPI | 1124217666 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: OH 127264) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA MA053197) |
| Enumeration Date | 2007-10-22 |
| Last Update Date | 2016-03-01 |