| NPI | 1598296394 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WA MD61088552) |
| Additional Taxonomies | 207QA0401X Family Medicine, Addiction Medicine (Licence: WA MD61088552) |
| 207QA0401X Family Medicine, Addiction Medicine (Licence: OR MD197384) | |
| Enumeration Date | 2017-03-23 |
| Last Update Date | 2022-08-18 |