| NPI | 1962084806 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NC 2024-00531) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NC GOUK-LE822H) |
| Enumeration Date | 2021-04-21 |
| Last Update Date | 2024-08-15 |