| NPI | 1164043238 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program | 
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX BP10070680) | 
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: OH 35.152484) | |
| Enumeration Date | 2020-04-30 | 
| Last Update Date | 2025-07-04 |