| NPI | 1316478472 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: VA 0101269456) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MA 1024621) |
| 207P00000X Emergency Medicine (Licence: IL 036172729) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-03-21 |
| Last Update Date | 2025-09-22 |