| NPI | 1447576939 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WA MD61152931) |
| Additional Taxonomies | 146N00000X Emergency Medical Technician, Basic (Licence: OR MD162833) |
| 207P00000X Emergency Medicine (Licence: OR MD162833) | |
| 207Q00000X Family Medicine (Licence: WA MD61152931) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2010-04-09 |
| Last Update Date | 2022-11-07 |