| NPI | 1083146708 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: VT 042-0016249) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CO DR.0063559) |
| 207P00000X Emergency Medicine (Licence: NH 21551) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-03-31 |
| Last Update Date | 2022-08-30 |