| NPI | 1124053871 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WA md00046328) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OR MD219236) |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2025-09-20 |