| NPI | 1073056164 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL 154007) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: PR 1145959) |
| Enumeration Date | 2016-11-22 |
| Last Update Date | 2021-08-20 |