| NPI | 1174565329 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: MI 014708) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 34-007828) |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2016-07-07 |