| NPI | 1326690686 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MO 2023000921) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: FL ME155465) |
| 207P00000X Emergency Medicine (Licence: KS 04-47735) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: FL TRN29441) | |
| Enumeration Date | 2019-07-16 |
| Last Update Date | 2023-06-09 |