| NPI | 1245506898 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WA 60893350) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OR MD166426) |
| 207P00000X Emergency Medicine (Licence: HI MD - 18105) | |
| Enumeration Date | 2012-03-28 |
| Last Update Date | 2019-10-11 |