NPI | 1720441942 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NM MD2020-0650) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: WA MILLETA123CP) |
Enumeration Date | 2016-04-04 |
Last Update Date | 2021-11-18 |