| NPI | 1235147653 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA MD00025090) |
| Additional Taxonomies | 207PE0004X Emergency Medicine Emergency Medical Services (Licence: WA MD00025090) |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2020-06-15 |