| NPI | 1689963597 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OH 35.124398) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WA MD61387840) |
| Enumeration Date | 2011-03-31 |
| Last Update Date | 2023-06-15 |