| NPI | 1801423603 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: VT 042.0016990) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: 64270) |
| Enumeration Date | 2020-03-24 |
| Last Update Date | 2023-06-09 |