| NPI | 1790988632 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MI 4301093720) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 57009055) |
| Enumeration Date | 2007-06-07 |
| Last Update Date | 2018-12-14 |