| NPI | 1174542120 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WA MD60797587) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: ND 15304) |
| 207P00000X Emergency Medicine (Licence: ID M8720) | |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2023-12-28 |