| NPI | 1679739866 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MO 2015022186) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 34.010041) |
| 207P00000X Emergency Medicine (Licence: TX P6050) | |
| Enumeration Date | 2008-08-06 |
| Last Update Date | 2021-02-24 |