| NPI | 1831500230 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IA DO-05489) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 012419) |
| Enumeration Date | 2014-05-20 |
| Last Update Date | 2022-07-21 |