| NPI | 1528529286 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OH 58.030808) |
| Additional Taxonomies | 282N00000X General Acute Care Hospital |
| 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: OH 58.030808) | |
| Enumeration Date | 2019-03-26 |
| Last Update Date | 2019-09-20 |