NPI | 1023636982 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA MD483244) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: FL 158453) |
390200000X Student in an Organized Health Care Education/Training Program (Licence: FL 31576) | |
Enumeration Date | 2020-07-08 |
Last Update Date | 2023-12-28 |