| NPI | 1780983254 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: KY 47760) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 01074101) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2011-03-22 |
| Last Update Date | 2023-10-06 |