| NPI | 1538798830 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NM MD2023-1404) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NM MD2023-1404) |
| Enumeration Date | 2020-04-07 |
| Last Update Date | 2024-11-15 |