| NPI | 1710198262 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A109776) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MN 2683) |
| 207P00000X Emergency Medicine (Licence: NY 320700) | |
| 207P00000X Emergency Medicine (Licence: KS 04-44449) | |
| 207Q00000X Family Medicine (Licence: CA A109776) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2023-09-12 |