| NPI | 1538180740 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WA MD00045758) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OR MD22250) |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2022-03-18 |