| NPI | 1851602056 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WA OP60461950) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA ot013783) |
| Enumeration Date | 2010-06-23 |
| Last Update Date | 2023-06-28 |