| NPI | 1023671062 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WA MD61478134)  | 
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A176525)  | 
| 207P00000X Emergency Medicine (Licence: ID M-17282)  | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2019-04-16 | 
| Last Update Date | 2025-08-26 |