| NPI | 1902040702 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WA MD60876985) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH FK2788896) |
| Enumeration Date | 2009-04-23 |
| Last Update Date | 2022-09-28 |