| NPI | 1669553848 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OR md24378) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WA MD00046559) |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2017-03-29 |