| NPI | 1922741313 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: AZ 79056) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NM MD2025-0046) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 207PE0005X Emergency Medicine, Undersea and Hyperbaric Medicine (Licence: NM RS20220469) | |
| Enumeration Date | 2022-04-14 |
| Last Update Date | 2026-04-30 |