| NPI | 1831517143 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OH 35.142567) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 0233562) |
| 208000000X Pediatrics (Licence: NY 0233562) | |
| Enumeration Date | 2014-04-03 |
| Last Update Date | 2021-06-08 |