| NPI | 1235870049 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL ME173144) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 57.253432) |
| Enumeration Date | 2022-04-05 |
| Last Update Date | 2025-07-02 |