| NPI | 1861929721 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL 154732) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PR 34722-R) |
| 207P00000X Emergency Medicine (Licence: PR 35501-R) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-05-22 |
| Last Update Date | 2023-07-17 |