| NPI | 1033310412 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL ME111770) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: VA 0101245230) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: VA 0116018214) | |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2019-03-20 |