| NPI | 1407344153 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WA MD61262313) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: FL ME149041) |
| Enumeration Date | 2018-04-27 |
| Last Update Date | 2023-12-29 |