| NPI | 1639515851 |
|---|---|
| Former Name | JAMIE RAE RUIZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WI 64201) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2013-05-14 |
| Last Update Date | 2016-08-11 |