| NPI | 1396921938 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WA MD60145600) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CT 048071) |
| Enumeration Date | 2008-01-14 |
| Last Update Date | 2021-06-14 |