| NPI | 1396821153 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: WA MD00032094) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WA MD00032094) |
| 2086S0102X Surgery, Surgical Critical Care (Licence: WA MD00032094) | |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2013-11-25 |