| NPI | 1295120715 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WA MD61188455) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NC 2018-00971) |
| Enumeration Date | 2015-04-01 |
| Last Update Date | 2022-12-05 |