| NPI | 1447487459 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WA MD60288086) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX R3965) |
| Enumeration Date | 2009-06-17 |
| Last Update Date | 2020-01-23 |