| NPI | 1326095290 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OH 35-06-4455) |
| Additional Taxonomies | 208D00000X General Practice (Licence: OH 35.064455) |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2017-11-17 |