| NPI | 1922113711 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MA 253474) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 34008734) |
| 207P00000X Emergency Medicine (Licence: NH 13487) | |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2016-05-09 |