| NPI | 1154769073 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: ID 1861279) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WA MD60654927) |
| Enumeration Date | 2013-06-13 |
| Last Update Date | 2025-03-07 |