| NPI | 1871715102 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WA MD00020739) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD00020739) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2018-05-18 |