| NPI | 1508390782 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: LA 323980) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: GA 86569) |
| 207P00000X Emergency Medicine (Licence: NC 03457) | |
| 207P00000X Emergency Medicine (Licence: CA A173182) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-04-14 |
| Last Update Date | 2021-09-14 |