| NPI | 1811492739 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WA MD61145396) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: KY 54507) |
| Enumeration Date | 2018-03-25 |
| Last Update Date | 2021-08-19 |