| NPI | 1649435165 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: SD 1359) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MT MED-PHYS-LIC-91650) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: VA 0116020853) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2008-07-24 |
| Last Update Date | 2023-06-15 |