| NPI | 1174562672 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OH 35-040074) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: FL ME80964) |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2013-08-15 |