| NPI | 1528628997 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OH 35140208) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: FL ME163613) |
| 207P00000X Emergency Medicine (Licence: KS 04-46352) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2019-06-18 |
| Last Update Date | 2023-07-17 |