NPI | 1013970060 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208D00000X General Practice (Licence: OR MD23025) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OR MD23025) |
207P00000X Emergency Medicine (Licence: WA MD00044976) | |
Enumeration Date | 2006-04-10 |
Last Update Date | 2024-03-27 |