| NPI | 1750814125 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OH 35.152595) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MD473557) |
| Enumeration Date | 2017-04-04 |
| Last Update Date | 2025-03-22 |