| NPI | 1508985227 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OH 35.096789) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WV 01621) |
| 207R00000X Internal Medicine (Licence: OH 35.096789) | |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2018-02-12 |