| NPI | 1184258857 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WI 87800) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 207P00000X Emergency Medicine (Licence: IL 125.078668) | |
| 207P00000X Emergency Medicine (Licence: IL 036.168281) | |
| Enumeration Date | 2020-03-02 |
| Last Update Date | 2026-08-26 |