| NPI | 1558788919 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 207PT0002X Emergency Medicine, Medical Toxicology (Licence: TX S1950)  | 
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AZ 007243)  | 
| 207PT0002X Emergency Medicine, Medical Toxicology (Licence: NM DO2025-0006)  | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2014-03-24 | 
| Last Update Date | 2025-07-17 |