| NPI | 1386050375 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OH 32.012085) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 58.005360) |
| 207P00000X Emergency Medicine (Licence: MS 24596) | |
| Enumeration Date | 2014-07-10 |
| Last Update Date | 2022-08-30 |