| NPI | 1285847111 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OH 34-00-9617) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 58-002216) |
| 207P00000X Emergency Medicine (Licence: NE 806) | |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2011-04-20 |