| NPI | 1972023083 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: SD 12069) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: WV ED0690A) |
| Enumeration Date | 2017-06-21 |
| Last Update Date | 2020-07-11 |