| NPI | 1356633853 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 076449) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA MD60452305) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 207P00000X Emergency Medicine (Licence: WA MD60452305) | |
| Enumeration Date | 2011-05-03 |
| Last Update Date | 2021-02-26 |