| NPI | 1821730474 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NC 2025-02869) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: TX 390200000X) |
| Enumeration Date | 2022-04-12 |
| Last Update Date | 2025-09-18 |