| NPI | 1306052006 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WA OP60329003) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA OT011765) |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2016-04-15 |