| NPI | 1144207440 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OH 34008335) |
| Additional Taxonomies | 146D00000X Personal Emergency Response Attendant (Licence: OH 34008335) |
| 207Q00000X Family Medicine (Licence: OH 34008335) | |
| Enumeration Date | 2005-12-28 |
| Last Update Date | 2018-03-17 |