| NPI | 1215436308 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PR 35678-R) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: PR 6094235) |
| Enumeration Date | 2018-02-05 |
| Last Update Date | 2022-11-04 |