| NPI | 1063857548 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OR MD209189) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WA MD60651626) |
| Enumeration Date | 2013-05-09 |
| Last Update Date | 2025-11-05 |