| NPI | 1316148299 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OH 35-058611) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OH 35058611T) |
| 2083X0100X Preventive Medicine, Occupational Medicine (Licence: OH 35058611T) | |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2021-01-12 |