| NPI | 1831536457 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OH 34012837) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA OT015429) |
| Enumeration Date | 2013-05-23 |
| Last Update Date | 2025-10-17 |