| NPI | 1194073767 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NC 2016-01540) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: NM MD2015-0154) | |
| 207P00000X Emergency Medicine (Licence: TX Q3541) | |
| 207P00000X Emergency Medicine (Licence: NM MD2015-0154) | |
| Enumeration Date | 2012-08-29 |
| Last Update Date | 2016-10-06 |