| NPI | 1891424388 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WA MD70112068) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 207P00000X Emergency Medicine (Licence: NH 34502) | |
| 207P00000X Emergency Medicine (Licence: CA 190796) | |
| Enumeration Date | 2022-06-09 |
| Last Update Date | 2026-07-08 |