| NPI | 1790589935 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: LP12345) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: RI MD12345) |
| Enumeration Date | 2025-04-04 |
| Last Update Date | 2025-04-04 |