| NPI | 1821080649 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OH 35082084) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NC 2006-00812) |
| 207P00000X Emergency Medicine (Licence: SC 31537) | |
| Enumeration Date | 2005-08-18 |
| Last Update Date | 2016-04-15 |