| NPI | 1376167940 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA OT020072) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA OT020072) |
| Enumeration Date | 2020-05-30 |
| Last Update Date | 2020-05-30 |