| NPI | 1861658130 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IN 01075290A) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 35.095417) |
| Enumeration Date | 2008-08-05 |
| Last Update Date | 2020-10-12 |