| NPI | 1710148101 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: SC 31670) |
| Additional Taxonomies | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: SC 31670) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: VA 0116018440) | |
| Enumeration Date | 2008-06-19 |
| Last Update Date | 2020-10-27 |