| NPI | 1528150943 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OH 35.140866) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: VA 0101050191) |
| Enumeration Date | 2006-09-30 |
| Last Update Date | 2020-11-30 |