NPI | 1609010065 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207PH0002X Emergency Medicine, Hospice and Palliative Medicine (Licence: UT 12383588-1204) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA 20A15721) |
390200000X Student in an Organized Health Care Education/Training Program | |
390200000X Student in an Organized Health Care Education/Training Program (Licence: NM R862020) | |
Enumeration Date | 2009-04-28 |
Last Update Date | 2021-11-03 |