| NPI | 1679150304 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MO 2023008153) |
| 207P00000X Emergency Medicine (Licence: KS Pending) | |
| Enumeration Date | 2021-03-27 |
| Last Update Date | 2024-04-19 |