| NPI | 1124230024 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WA 60170963) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: SD 1679) |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2020-08-11 |