| NPI | 1861681066 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OH 35.094979) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 57013658) |
| Enumeration Date | 2007-10-24 |
| Last Update Date | 2021-07-01 |