| NPI | 1619078896 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CO DR.0058518) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WA MD00045120) |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2019-05-03 |