| NPI | 1710118856 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: OH 35.052504) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 35.052504) |
| Enumeration Date | 2009-08-06 |
| Last Update Date | 2009-08-06 |