| NPI | 1134133747 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OH 35043611) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OH 35043611) |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2020-07-14 |