| NPI | 1265506802 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: VA 010104431) |
| Additional Taxonomies | 146D00000X Personal Emergency Response Attendant (Licence: OH 35085173) |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2020-07-02 |