| NPI | 1164855730 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OR MD203337) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NM MD2019-0748) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2013-08-18 |
| Last Update Date | 2022-04-05 |