| NPI | 1356864136 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: GA 99470) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX T7732) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-07-24 |
| Last Update Date | 2024-09-10 |