| NPI | 1316922255 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 202K00000X (Licence: OH 350745225) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 35074522S) |
| Enumeration Date | 2005-12-14 |
| Last Update Date | 2015-09-09 |