| NPI | 1649482886 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CO 1514) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A99448) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2022-02-14 |