| NPI | 1982864724 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WA MD 60218150) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OR MD 153897) |
| Enumeration Date | 2008-06-16 |
| Last Update Date | 2026-05-13 |