| NPI | 1104219526 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NE 8260) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NE H13045191) |
| 207P00000X Emergency Medicine (Licence: IA DO-05862) | |
| Enumeration Date | 2015-03-10 |
| Last Update Date | 2021-08-31 |