| NPI | 1891174850 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: HI MD-20591) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WA MD60855695) |
| Enumeration Date | 2015-05-23 |
| Last Update Date | 2022-01-12 |