| NPI | 1114161213 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 275890) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NY 62812) |
| 207P00000X Emergency Medicine (Licence: GA 67903) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: GA 67903) | |
| 207PT0002X Emergency Medicine Medical Toxicology (Licence: NY 275890) | |
| Enumeration Date | 2009-04-21 |
| Last Update Date | 2014-07-24 |