| NPI | 1558894857 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OR MD198764) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WA MD.MD.70069278) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-04-04 |
| Last Update Date | 2026-01-20 |