| NPI | 1861618357 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OH 35.093190) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OR MD27293) |
| 207P00000X Emergency Medicine (Licence: OH 35093190) | |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2023-03-24 |