| NPI | 1619924206 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TN 1559) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WA 60066655) |
| Enumeration Date | 2006-05-28 |
| Last Update Date | 2009-04-14 |