| NPI | 1619236114 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OH 35126710) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: KY R3036) |
| Enumeration Date | 2012-05-04 |
| Last Update Date | 2015-06-19 |