| NPI | 1578978151 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WA OP60732394) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AZ 009915) |
| Enumeration Date | 2014-06-23 |
| Last Update Date | 2022-08-24 |