| NPI | 1164818993 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OK 32423) |
| Additional Taxonomies | 208600000X Surgery (Licence: TX BP10052439) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: OK 1164818993) | |
| Enumeration Date | 2015-04-08 |
| Last Update Date | 2022-02-07 |