| NPI | 1750910345 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: ID M-17805)  | 
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OR MD221504)  | 
| 207P00000X Emergency Medicine (Licence: WA MD61478841)  | |
| Enumeration Date | 2020-04-06 | 
| Last Update Date | 2024-09-17 |