| NPI | 1144485954 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OR MD157567)  | 
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: OR LL18422)  | 
| Enumeration Date | 2008-07-21 | 
| Last Update Date | 2012-10-01 |