| NPI | 1902484959 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: SC 94718) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NJ 25MB12092500) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2021-03-31 |
| Last Update Date | 2025-10-30 |