| NPI | 1578241550 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA OT022743) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA OS025728) |
| Enumeration Date | 2023-07-10 |
| Last Update Date | 2026-04-29 |