| NPI | 1659804011 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IN 02006505A) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 34.013599) |
| Enumeration Date | 2017-04-04 |
| Last Update Date | 2022-01-07 |