| NPI | 1679130587 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: VA 0102208079) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OK 7077) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2019-05-27 |
| Last Update Date | 2023-09-25 |