| NPI | 1154556140 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA OS016511) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 34.011282) |
| Enumeration Date | 2009-05-20 |
| Last Update Date | 2015-10-02 |