| NPI | 1356507305 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WA MD 60218128) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: ID M-11580) |
| Enumeration Date | 2008-07-30 |
| Last Update Date | 2014-06-18 |