| NPI | 1619310125 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OH 35.136490) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AL MD.36281) |
| Enumeration Date | 2013-04-15 |
| Last Update Date | 2019-07-25 |