| NPI | 1073806477 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WA OP60318649) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NV DO2224) |
| Enumeration Date | 2011-05-18 |
| Last Update Date | 2018-03-17 |