| NPI | 1417453465 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OH 35.142827) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 4301505606) |
| Enumeration Date | 2018-03-30 |
| Last Update Date | 2021-10-11 |