| NPI | 1912955014 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MI 5101015406) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 34.008853) |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2014-04-09 |