| NPI | 1972180883 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MA 1018799) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MN 71987) |
| 207P00000X Emergency Medicine (Licence: MA 1018799) | |
| 207P00000X Emergency Medicine (Licence: MN 31656) | |
| Enumeration Date | 2021-03-26 |
| Last Update Date | 2024-11-19 |