| NPI | 1174059323 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: VA 0101265602) |
| Additional Taxonomies | 207PE0004X Emergency Medicine Emergency Medical Services (Licence: TX T1584) |
| 208D00000X General Practice (Licence: VA 0101265602) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-05-10 |
| Last Update Date | 2022-07-19 |