| NPI | 1518903558 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OR MD213992) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WA MD00045799) |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2024-04-16 |