| NPI | 1659767606 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A172283) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 35.132225) |
| Enumeration Date | 2015-04-07 |
| Last Update Date | 2021-08-17 |