| NPI | 1457610651 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MO 2016027983) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH RS002870) |
| 207P00000X Emergency Medicine (Licence: NM MD2018-0820) | |
| Enumeration Date | 2012-05-08 |
| Last Update Date | 2023-07-11 |