| NPI | 1255793667 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MI 5101025432) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 34.012992) |
| Enumeration Date | 2016-03-24 |
| Last Update Date | 2020-07-01 |