| NPI | 1841581741 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TN 2848) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 34.011198) |
| Enumeration Date | 2011-04-26 |
| Last Update Date | 2019-11-10 |