| NPI | 1154414894 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OR MD21831) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WA MD00037528) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2008-05-30 |