| NPI | 1487634622 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PE0004X Emergency Medicine Emergency Medical Services (Licence: WA MD00048876) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA 0101236930) |
| Enumeration Date | 2006-01-20 |
| Last Update Date | 2020-11-05 |