| NPI | 1831282821 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WA MD00033567) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WA 33567) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2020-11-12 |