| NPI | 1538114988 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WA MD00035734) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OR MD17263) |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2019-05-08 |