| NPI | 1396770210 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OH 35092147) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MA 226986) |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2009-01-08 |