| NPI | 1932763703 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TN 65200) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MS 30127) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2019-04-27 |
| Last Update Date | 2022-07-12 |