| NPI | 1265651582 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OH 35.088510) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 57009129) |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2017-06-16 |