| NPI | 1447664545 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: KY 04266) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 34.012921) |
| Enumeration Date | 2014-06-17 |
| Last Update Date | 2023-02-02 |