| NPI | 1487001624 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NM A-2514-21) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA OS019737) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-05-18 |
| Last Update Date | 2021-09-22 |