| NPI | 1194344481 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OH 35.152667) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 4301508675) |
| Enumeration Date | 2020-04-16 |
| Last Update Date | 2025-04-08 |