| NPI | 1558620658 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WA MD61247574) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A143176) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2012-05-09 |
| Last Update Date | 2022-01-20 |