| NPI | 1619504271 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX V1087) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: GA 94086) |
| 207P00000X Emergency Medicine (Licence: FL 19308) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2020-03-24 |
| Last Update Date | 2024-08-23 |