| NPI | 1275621104 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WA MD70010802) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MA 227542) |
| 207P00000X Emergency Medicine (Licence: OR MD177945) | |
| 207P00000X Emergency Medicine (Licence: ID M10228) | |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2025-09-29 |