| NPI | 1386101913 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OR DO219699) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 58.031541) |
| 207P00000X Emergency Medicine (Licence: CA 20A21115) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2019-03-01 |
| Last Update Date | 2024-09-09 |