| NPI | 1508488024 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: LA 329498) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: LA 204298) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: TX BP10071488) | |
| Enumeration Date | 2020-05-07 |
| Last Update Date | 2024-05-08 |