| NPI | 1255894101 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WA MD61179445) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: WA MD61179445) |
| Enumeration Date | 2019-04-08 |
| Last Update Date | 2023-06-23 |