| NPI | 1417116955 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: UT 11019408-1205) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WA MD 60270943) |
| Enumeration Date | 2008-06-09 |
| Last Update Date | 2019-03-28 |