| NPI | 1811160385 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OR MD151089) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WA MD60215283) |
| Enumeration Date | 2008-04-07 |
| Last Update Date | 2019-11-15 |