| NPI | 1124476841 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA 20A19877) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 34.013076) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: OH 34.013076) | |
| Enumeration Date | 2016-06-03 |
| Last Update Date | 2022-07-11 |