| NPI | 1205128121 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WA OP60527742) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA OT014051) |
| Enumeration Date | 2011-05-11 |
| Last Update Date | 2025-07-09 |