| NPI | 1932608460 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NC 2023-03044) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WA OP61026923) |
| Enumeration Date | 2018-02-11 |
| Last Update Date | 2025-06-28 |