| NPI | 1740393149 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: HI 1359) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 34003807) |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2012-03-16 |