| NPI | 1497250211 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OH 57.257342) |
| Additional Taxonomies | 171000000X Military Health Care Provider (Licence: IN 01082800A) |
| 2083A0100X Preventive Medicine, Aerospace Medicine (Licence: IN 01082800A) | |
| Enumeration Date | 2018-03-25 |
| Last Update Date | 2024-06-24 |