| NPI | 1679101166 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TN 65459) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: GA 390200000X) |
| Enumeration Date | 2020-03-30 |
| Last Update Date | 2023-07-06 |