| NPI | 1275834665 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OH 34.010428) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 5101027286) |
| 207P00000X Emergency Medicine (Licence: MS 22816) | |
| Enumeration Date | 2010-11-16 |
| Last Update Date | 2025-05-22 |