| NPI | 1841588456 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OH 34011576) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WV 2897) |
| Enumeration Date | 2011-07-16 |
| Last Update Date | 2021-05-19 |