| NPI | 1912497264 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OR MD221559) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 57.246335) |
| Enumeration Date | 2018-05-12 |
| Last Update Date | 2025-01-23 |