| NPI | 1174813349 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX Q4151) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 207P00000X Emergency Medicine (Licence: CA A130610) | |
| 207P00000X Emergency Medicine (Licence: PA MT200215) | |
| Enumeration Date | 2011-04-08 |
| Last Update Date | 2015-06-12 |