| NPI | 1801089099 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OH 35.135354) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: VA 0101246118) |
| 207P00000X Emergency Medicine (Licence: GA 64297) | |
| Enumeration Date | 2007-08-22 |
| Last Update Date | 2023-09-28 |