| NPI | 1871179838 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: AZ 76547) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WV 33208) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2021-03-21 |
| Last Update Date | 2025-06-14 |