| NPI | 1912248477 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MD D0085941) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: GU EMTL-2020-024) |
| 207P00000X Emergency Medicine (Licence: GU M-2252) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2013-03-08 |
| Last Update Date | 2021-08-17 |