| NPI | 1649322785 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: MD D45784) |
| Additional Taxonomies | 208600000X Surgery (Licence: MD D45784) |
| 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: OH 35.054679) | |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: MD D0045784) | |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2009-07-16 |