| NPI | 1336834662 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WI 81708) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WI 81708-21) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2023-04-11 |
| Last Update Date | 2025-07-16 |