| NPI | 1003009804 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: RI DO01235) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: SC 1405) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: FL UO1748) | |
| Enumeration Date | 2007-08-24 |
| Last Update Date | 2023-05-22 |