| NPI | 1659947935 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OH 57.251930) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 35.149652) |
| Enumeration Date | 2021-05-27 |
| Last Update Date | 2024-06-26 |