| 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 |