| NPI | 1598177032 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MT MED-PHYS-LIC-67135) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MT 67135) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA OT016100) | |
| Enumeration Date | 2014-06-02 |
| Last Update Date | 2024-04-08 |