| NPI | 1750314845 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OH 35086031) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 4301079506) |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2007-07-08 |