| NPI | 1942664552 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A167875) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MN 2749) |
| 207P00000X Emergency Medicine (Licence: NY 320644) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-04-09 |
| Last Update Date | 2023-01-30 |