| NPI | 1982083291 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX R3639) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: KS 04-42843) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-05-20 |
| Last Update Date | 2021-05-10 |