| NPI | 1649911959 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WI 87642) |
| 207P00000X Emergency Medicine (Licence: IL 036181067) | |
| Enumeration Date | 2022-04-02 |
| Last Update Date | 2026-07-28 |