| NPI | 1659699791 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MD D77182) | 
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program | 
| 3747P1801X Technician, Personal Care Attendant | |
| Enumeration Date | 2010-05-13 | 
| Last Update Date | 2025-04-18 |