| NPI | 1033471446 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WA FM5881025) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OR MD175726) |
| Enumeration Date | 2012-06-12 |
| Last Update Date | 2023-08-21 |