| NPI | 1659390029 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: ME TD061063) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 35-078519) |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2008-07-28 |