| NPI | 1740372960 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL OS8359) | 
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 34.006809) | 
| 207R00000X Internal Medicine (Licence: FL OS8359) | |
| Enumeration Date | 2006-09-28 | 
| Last Update Date | 2022-08-18 |