| NPI | 1003519026 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: AL ACSC5935) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: AL L5935R) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2023-03-27 |
| Last Update Date | 2024-07-22 |