| NPI | 1457799942 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NM A-1977-16) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NE 6950) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: NM R-29-2015) | |
| Enumeration Date | 2013-06-06 |
| Last Update Date | 2025-03-13 |