| NPI | 1386862118 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: AZ 44419) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 57011815) |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2020-10-26 |