| NPI | 1710113683 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WA MD60840161) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: VA 0101249521) |
| Enumeration Date | 2009-06-05 |
| Last Update Date | 2023-10-31 |