| NPI | 1285952168 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: KY 49393) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 35-122061) |
| Enumeration Date | 2010-05-17 |
| Last Update Date | 2016-08-16 |