| NPI | 1083605851 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WA MD60056789) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AZ 33160) |
| Enumeration Date | 2005-11-02 |
| Last Update Date | 2015-03-16 |