| NPI | 1487612800 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OH 35075253) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CO DR0062975) |
| 207P00000X Emergency Medicine (Licence: KY 46726) | |
| 207R00000X Internal Medicine (Licence: CO DR0062975) | |
| 207R00000X Internal Medicine (Licence: OH 35075253M) | |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2021-04-28 |