| NPI | 1730574344 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OR MD229036) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 57.025924) |
| Enumeration Date | 2015-03-31 |
| Last Update Date | 2026-06-09 |