| NPI | 1346466349 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX N7460) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 57.013706) |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2022-08-15 |