| NPI | 1952968075 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MN 70156) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: ND PT20004) |
| 207P00000X Emergency Medicine (Licence: WI 76876) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2019-05-23 |
| Last Update Date | 2025-01-09 |