| NPI | 1932298080 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PE0005X Emergency Medicine, Undersea and Hyperbaric Medicine (Licence: WA MD00027806) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA MD00027806) |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2008-10-30 |