| NPI | 1073771655 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA MD463584) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 250130) |
| 2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine (Licence: PA MD463584) | |
| 2083X0100X Preventive Medicine, Occupational Medicine (Licence: NY 250130) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2008-05-30 |
| Last Update Date | 2019-10-19 |