| NPI | 1164919288 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: KY 57861) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MO 2020017726) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-04-14 |
| Last Update Date | 2024-05-30 |