| NPI | 1700224789 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OH 35.131208) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WI 65975) |
| 207P00000X Emergency Medicine (Licence: KY R3196) | |
| 207P00000X Emergency Medicine (Licence: IN 01074831A) | |
| Enumeration Date | 2013-06-12 |
| Last Update Date | 2021-05-13 |