| NPI | 1003583469 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OR DO228903) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WA DO.OP.70159878) |
| Enumeration Date | 2021-08-24 |
| Last Update Date | 2026-09-02 |