| NPI | 1114305745 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: LA 328482) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MS 25304) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: 390200000) | |
| Enumeration Date | 2015-05-15 |
| Last Update Date | 2022-01-04 |