| NPI | 1164646089 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WA MD60073279) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 4301083809) |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2021-12-19 |