| NPI | 1164153326 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OH 35.153379) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NE 9438) |
| Enumeration Date | 2022-06-20 |
| Last Update Date | 2025-05-19 |