| NPI | 1538180039 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OH 58-000965) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AZ 4440) |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2008-09-04 |