| 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 |