| NPI | 1508595273 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA HS000220L) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 332647-01) |
| Enumeration Date | 2022-06-08 |
| Last Update Date | 2024-11-11 |