| NPI | 1063020121 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MS 33210) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: FL ME157961) |
| 207P00000X Emergency Medicine (Licence: CA A194142) | |
| 207P00000X Emergency Medicine (Licence: AL MD.46822) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: FL 31919) | |
| Enumeration Date | 2020-07-15 |
| Last Update Date | 2024-04-17 |