| NPI | 1316379159 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA OS018389) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 34.014304) |
| 207P00000X Emergency Medicine (Licence: WV 3002) | |
| Enumeration Date | 2013-08-03 |
| Last Update Date | 2021-12-02 |