| NPI | 1366934564 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: ID M-17356) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AK 187661) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-06-04 |
| Last Update Date | 2023-08-14 |