| NPI | 1679100556 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX W7135) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 208000000X Pediatrics (Licence: RI MD19138) | |
| Enumeration Date | 2020-03-23 |
| Last Update Date | 2026-06-25 |