| NPI | 1679898324 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: KY 46181) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 01084643A) |
| 207P00000X Emergency Medicine (Licence: OH 35.149683) | |
| Enumeration Date | 2010-04-06 |
| Last Update Date | 2024-01-29 |