| NPI | 1184157448 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WA OP61278399) |
| Additional Taxonomies | 207PP0204X Emergency Medicine Pediatric Emergency Medicine (Licence: AZ 207PP0204X) |
| 207Q00000X Family Medicine (Licence: WA OP61278399) | |
| Enumeration Date | 2017-04-04 |
| Last Update Date | 2025-08-26 |