| NPI | 1073891800 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MT MED-PHYS-LIC-88016) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WA MD60458942) |
| Enumeration Date | 2011-07-27 |
| Last Update Date | 2021-05-06 |