| NPI | 1265175301 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: SC 95253) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: GA 14471) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2022-04-17 |
| Last Update Date | 2026-07-09 |