| NPI | 1164657375 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OR 155139) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WA MD60617983) |
| Enumeration Date | 2009-05-18 |
| Last Update Date | 2022-02-04 |