| NPI | 1538555412 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WA MD61277262) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 4301117076) |
| Enumeration Date | 2015-04-08 |
| Last Update Date | 2022-06-08 |