| NPI | 1639532419 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: AZ 009345) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: SC 82105) |
| 207P00000X Emergency Medicine (Licence: TX T0170) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-03-30 |
| Last Update Date | 2022-06-07 |