| NPI | 1386650927 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: KY 40034) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 01069980A) |
| 207P00000X Emergency Medicine (Licence: OH 35.085187) | |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2018-06-28 |