| NPI | 1205840592 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OH 35088869) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: RI MD12000) |
| Enumeration Date | 2006-07-29 |
| Last Update Date | 2007-09-24 |