| NPI | 1376651182 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: UT 7009281-1205) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 35.087845) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: UT 7009281-1205) | |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2021-11-18 |