| NPI | 1891376794 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WA OP61552354) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: ID 8871248) |
| Enumeration Date | 2021-04-21 |
| Last Update Date | 2025-07-23 |