| NPI | 1679777213 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WA MD60078127) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MA 225979, limited) |
| 207P00000X Emergency Medicine (Licence: MA 234090) | |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2023-02-02 |