NPI | 1316441959 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OH 35.138662) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 4301504461) |
207Q00000X Family Medicine (Licence: OH 35.138662) | |
207QS0010X Family Medicine, Sports Medicine (Licence: OH 35.138662) | |
Enumeration Date | 2018-03-20 |
Last Update Date | 2022-07-07 |