| NPI | 1255520417 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: VA 0101249009) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 57013242) |
| Enumeration Date | 2007-10-23 |
| Last Update Date | 2011-08-05 |