| NPI | 1619276474 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL ME114880) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 35.128501) |
| Enumeration Date | 2011-03-19 |
| Last Update Date | 2016-08-22 |