| NPI | 1235554353 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NC 2018-00521) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: VA 0102208501) |
| 207P00000X Emergency Medicine (Licence: OH 012457) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2014-02-26 |
| Last Update Date | 2025-10-06 |