| NPI | 1023109030 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WA MD60547005) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: ID 8161176) |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2026-08-11 |