| NPI | 1770695389 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: KY 42428) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 35-073339) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2015-08-03 |