| NPI | 1992191324 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: UT 6820890-1205) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: ME MD21813) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-04-13 |
| Last Update Date | 2019-01-08 |