| NPI | 1629487665 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OH 34.012445) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MO 2020023514) |
| Enumeration Date | 2014-08-04 |
| Last Update Date | 2023-09-13 |