| NPI | 1689175200 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IA DO-06201) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 34.015484) |
| Enumeration Date | 2018-02-28 |
| Last Update Date | 2023-03-02 |