| NPI | 1740491000 |
|---|---|
| Former Name | NIKKI BINZ WALLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NC 2009-01861) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NC 141275) |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2017-02-21 |