| NPI | 1639558653 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: WY 11456A) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NC 2017-01326) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-05-22 |
| Last Update Date | 2019-11-21 |