| NPI | 1164837753 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OH 35128930) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CO DR.0063655) |
| Enumeration Date | 2014-06-23 |
| Last Update Date | 2026-01-16 |