| NPI | 1912254038 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IA 04492) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 34.015412) |
| 207Q00000X Family Medicine (Licence: IA R-9591) | |
| Enumeration Date | 2012-08-08 |
| Last Update Date | 2023-07-24 |