| NPI | 1780845172 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: VA 0101245052) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: VA 0116018814) |
| 207P00000X Emergency Medicine (Licence: CA A125925) | |
| 2083A0300X Preventive Medicine, Addiction Medicine (Licence: VA 0101245052) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: VA 0116018814) | |
| Enumeration Date | 2008-06-19 |
| Last Update Date | 2022-07-20 |