| NPI | 1215324025 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: UT 10790119-1205) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CO DR.0060477) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-04-20 |
| Last Update Date | 2020-04-01 |