| NPI | 1205219862 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NM MD2022-1417) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX BP10053758) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: NM MD2022-1417) | |
| Enumeration Date | 2015-07-01 |
| Last Update Date | 2025-01-21 |