| NPI | 1063933745 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WA MD61368467) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 4301113372) |
| 207P00000X Emergency Medicine (Licence: OR MD198668) | |
| Enumeration Date | 2017-07-03 |
| Last Update Date | 2022-12-29 |