| NPI | 1235446527 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OH 11644) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH 11644) |
| Enumeration Date | 2010-09-08 |
| Last Update Date | 2020-07-14 |