| NPI | 1154453710 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WA MD60074937) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA 96771) |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2021-04-22 |