| NPI | 1205286325 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OH 35.150060) |
| Additional Taxonomies | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: FL ME134476) |
| 207Q00000X Family Medicine (Licence: FL ME134476) | |
| Enumeration Date | 2016-06-20 |
| Last Update Date | 2024-05-22 |