| NPI | 1912268269 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OH 34.011425) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA OT014465) |
| Enumeration Date | 2012-06-04 |
| Last Update Date | 2020-05-05 |