| NPI | 1417539230 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA 20A21055) |
| Additional Taxonomies | 208600000X Surgery (Licence: AZ R3630) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2021-04-21 |
| Last Update Date | 2024-05-31 |