| NPI | 1407051055 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WA MD60200496) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX Q1620) |
| Enumeration Date | 2007-06-15 |
| Last Update Date | 2015-02-18 |