| NPI | 1982022398 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TN DO0000003403) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 34 . 012744) |
| Enumeration Date | 2014-04-02 |
| Last Update Date | 2018-08-14 |