| NPI | 1396027041 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OH 34.101815) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OH 58003973) |
| Enumeration Date | 2011-09-19 |
| Last Update Date | 2013-07-01 |