| NPI | 1801831136 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OR DO218027) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WA OP00002213) |
| Enumeration Date | 2006-06-19 |
| Last Update Date | 2024-05-29 |