| NPI | 1104864875 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WA MD00046870) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TN MD38393) |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2007-10-19 |