| NPI | 1023401338 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WA MD61255096) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AK 137833) |
| Enumeration Date | 2015-03-11 |
| Last Update Date | 2025-04-30 |