| NPI | 1801201413 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WA OP61130040) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX R9196) |
| 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: GA 6812) | |
| Enumeration Date | 2014-06-23 |
| Last Update Date | 2021-12-06 |