NPI | 1619512407 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OH 50.006051) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: MA PA9083) |
Enumeration Date | 2019-11-15 |
Last Update Date | 2024-03-22 |