| NPI | 1710202247 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WA MD60664464) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MA 244305) |
| Enumeration Date | 2010-03-27 |
| Last Update Date | 2021-03-31 |