| NPI | 1477013753 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OR MD215019) | 
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MA 291515) | 
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2019-03-22 | 
| Last Update Date | 2023-07-27 |