| NPI | 1326783747 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MN 77841) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A203464) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2022-04-29 |
| Last Update Date | 2026-06-18 |