| NPI | 1174757934 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NM MD2013-0302) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MT194922) |
| 207P00000X Emergency Medicine (Licence: VA 0101259813) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MT194922) | |
| 207P00000X Emergency Medicine (Licence: CO DR.0069926) | |
| Enumeration Date | 2009-05-08 |
| Last Update Date | 2023-01-27 |