| NPI | 1497835292 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OH 35120651) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WI 1644-850) |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2014-02-26 |