| NPI | 1578907622 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: KS 04-42307) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 35.128571) |
| 207P00000X Emergency Medicine (Licence: KY 50450) | |
| Enumeration Date | 2013-04-19 |
| Last Update Date | 2024-10-09 |