| NPI | 1760002604 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: UT 14217959-1204) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AZ R3316) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2020-04-21 |
| Last Update Date | 2025-07-21 |