| NPI | 1376665620 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OH 009781) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 5101016962) |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2021-02-25 |