| NPI | 1215595954 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NV 24559) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WA ML60949190) |
| Enumeration Date | 2019-05-29 |
| Last Update Date | 2026-02-10 |