NPI | 1114931375 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: WA MD00045233) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OR MD26082) |
Enumeration Date | 2006-07-27 |
Last Update Date | 2022-05-04 |