| NPI | 1720046154 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA 20a-9498) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 34008483) |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2009-01-21 |