| NPI | 1417488792 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WA MD60997314) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A160889) |
| Enumeration Date | 2017-03-27 |
| Last Update Date | 2020-01-10 |