| NPI | 1316977317 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WA MD00048174) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 4301078537) |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2021-06-08 |