| NPI | 1083041750 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL ME172248)  | 
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 316930)  | 
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2013-09-26 | 
| Last Update Date | 2025-05-14 |