| NPI | 1699771576 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL ME90371) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TN MD0000028451) |
| 207P00000X Emergency Medicine (Licence: WA MD61344190) | |
| Enumeration Date | 2005-06-24 |
| Last Update Date | 2023-01-11 |