| NPI | 1699193813 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NM MD2016-0319) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NH 19013) |
| 207P00000X Emergency Medicine (Licence: AZ 53918) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: NM 138248) | |
| Enumeration Date | 2014-04-03 |
| Last Update Date | 2021-07-08 |