| NPI | 1902862956 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OH 34.007475) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 5101015930) |
| 207P00000X Emergency Medicine (Licence: AR E-8023) | |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2020-07-09 |