| NPI | 1376285452 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OH 58.033034) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NC 2025-00817) |
| Enumeration Date | 2022-04-10 |
| Last Update Date | 2025-04-09 |