| NPI | 1528171014 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: AZ 63421) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 35-087427) |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2022-10-03 |