| NPI | 1558329391 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OH 35083542) |
| Additional Taxonomies | 174400000X Specialist (Licence: OH 35-83542) |
| 207R00000X Internal Medicine (Licence: OH 35083542) | |
| Enumeration Date | 2006-05-02 |
| Last Update Date | 2012-08-21 |