| NPI | 1033734447 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: VT 032.0134274) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: VT 032.0134274) |
| 207P00000X Emergency Medicine (Licence: PA OT019969) | |
| 207P00000X Emergency Medicine (Licence: NY 338635) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: NH R4289) | |
| Enumeration Date | 2020-06-11 |
| Last Update Date | 2025-10-16 |