| NPI | 1063893246 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PT0002X Emergency Medicine, Medical Toxicology (Licence: LA 330442) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA OS019905) |
| 207P00000X Emergency Medicine (Licence: LA 330442) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA OT016252) | |
| Enumeration Date | 2015-06-14 |
| Last Update Date | 2023-04-03 |