| NPI | 1972707248 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PR 18451) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MN 52396) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: PR 11443) | |
| Enumeration Date | 2007-06-12 |
| Last Update Date | 2013-03-27 |