NPI | 1083297022 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NC TAYE-LNNM5E) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NC TAYE-YZ9SRT) |
Enumeration Date | 2021-04-28 |
Last Update Date | 2024-01-22 |