| NPI | 1134312515 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL ME154822) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 35-090225) |
| Enumeration Date | 2007-08-20 |
| Last Update Date | 2023-11-29 |