| NPI | 1013283183 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WA MD60491218) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: WA 390200000) |
| Enumeration Date | 2012-03-22 |
| Last Update Date | 2016-10-18 |