| NPI | 1487232575 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: KS pending) |
| 207P00000X Emergency Medicine (Licence: MO 2023041127) | |
| Enumeration Date | 2021-03-30 |
| Last Update Date | 2024-05-22 |