| NPI | 1154716306 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TN 57804) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WI 68141-20) |
| 207P00000X Emergency Medicine (Licence: MS 25967) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-04-04 |
| Last Update Date | 2022-02-25 |