| NPI | 1821338617 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MI 5101020247) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA 15744) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2013-02-15 |
| Last Update Date | 2024-08-08 |