| NPI | 1790471936 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: OH 58.033317) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 58.033317) |
| Enumeration Date | 2023-04-12 |
| Last Update Date | 2024-09-05 |