| NPI | 1275581324 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WA MD00020818) |
| Additional Taxonomies | 207PE0004X Emergency Medicine Emergency Medical Services (Licence: WA MD00020818) |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2010-04-30 |