| NPI | 1003234857 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA OS018751) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NC 2018-02789) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2014-03-30 |
| Last Update Date | 2025-02-07 |