| NPI | 1528219714 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PS0010X Emergency Medicine, Sports Medicine (Licence: CA A109073) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A109073) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2008-10-06 |
| Last Update Date | 2021-02-08 |