| NPI | 1275798787 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WA MD 603119900) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WA MD60311990) |
| Enumeration Date | 2008-07-23 |
| Last Update Date | 2020-12-16 |