| NPI | 1538127634 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PE0004X Emergency Medicine Emergency Medical Services (Licence: WA OP00001876) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MD H0065509) |
| Enumeration Date | 2006-05-01 |
| Last Update Date | 2025-08-08 |