| NPI | 1821476557 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WA MD60930164) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX 592032) |
| Enumeration Date | 2015-05-14 |
| Last Update Date | 2020-05-11 |