| NPI | 1457706566 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL ME160796) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 35.135010) |
| Enumeration Date | 2016-04-26 |
| Last Update Date | 2025-11-10 |