| NPI | 1194306043 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MN 76219) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WI 83761-20) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2021-04-20 |
| Last Update Date | 2024-04-12 |