| NPI | 1568991610 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: SC LL51202) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WA MD61033515) |
| Enumeration Date | 2017-06-11 |
| Last Update Date | 2020-06-30 |