| NPI | 1881847200 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: UT 71548031205) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WA MD60212997) |
| Enumeration Date | 2008-10-29 |
| Last Update Date | 2023-08-09 |