| NPI | 1235585357 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OR MD192930) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA 144283) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-05-07 |
| Last Update Date | 2019-08-07 |