| NPI | 1760800684 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OR MD206720) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WA 61201487) |
| Enumeration Date | 2014-03-29 |
| Last Update Date | 2023-08-17 |