| NPI | 1386832442 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OR MD166545) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: KY 52402) |
| 207P00000X Emergency Medicine (Licence: CA A105598) | |
| 207P00000X Emergency Medicine (Licence: OH 097941) | |
| Enumeration Date | 2007-10-12 |
| Last Update Date | 2023-02-06 |