| NPI | 1336554914 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: GA 80362) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 35130108) |
| Enumeration Date | 2014-06-23 |
| Last Update Date | 2018-08-27 |