| NPI | 1457663791 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OH 350123041) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WV 24808) |
| Enumeration Date | 2010-07-01 |
| Last Update Date | 2021-06-28 |