| NPI | 1659723278 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WA MD61239343) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 57.028755) |
| Enumeration Date | 2016-07-07 |
| Last Update Date | 2023-08-16 |