| NPI | 1376500587 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MA 218793) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: GU M-2232) |
| 207P00000X Emergency Medicine (Licence: WA MD61368340) | |
| Enumeration Date | 2006-05-01 |
| Last Update Date | 2023-04-17 |