| NPI | 1043953292 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IA 57121) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 207P00000X Emergency Medicine (Licence: WI 83774-20) | |
| 207P00000X Emergency Medicine (Licence: NE 37429) | |
| Enumeration Date | 2022-04-15 |
| Last Update Date | 2026-07-23 |