| NPI | 1518036953 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OH 35.138366) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 263465-1) |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2021-01-08 |