| NPI | 1710323647 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OR MD182371) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WA 60371631) |
| Enumeration Date | 2013-05-19 |
| Last Update Date | 2022-07-21 |