| NPI | 1215926761 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WA MD00046373) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MA 225416) |
| Enumeration Date | 2005-10-18 |
| Last Update Date | 2021-04-01 |