| NPI | 1124370788 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: DE C2-0013087) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OH 34.012395) |
| Enumeration Date | 2012-10-08 |
| Last Update Date | 2023-08-31 |