NPI | 1215387865 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 171000000X Military Health Care Provider |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
207P00000X Emergency Medicine (Licence: NE 30289) | |
Enumeration Date | 2016-06-14 |
Last Update Date | 2021-03-11 |