| NPI | 1164953931 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WI 77119) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 35.139000) |
| Enumeration Date | 2017-03-23 |
| Last Update Date | 2022-07-15 |