| NPI | 1508504721 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OH 35.154182) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OH 35.154182) |
| Enumeration Date | 2022-05-26 |
| Last Update Date | 2025-08-07 |