| NPI | 1003341843 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OH 35.141482) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 207P00000X Emergency Medicine (Licence: OH 35.141482) | |
| 207P00000X Emergency Medicine (Licence: CA A158078) | |
| 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: OH 35.141482) | |
| Enumeration Date | 2017-05-01 |
| Last Update Date | 2026-03-19 |