| NPI | 1215257902 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MD H80072) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MD H0080072) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 207P00000X Emergency Medicine (Licence: DE C7-0004575) | |
| Enumeration Date | 2010-06-04 |
| Last Update Date | 2016-09-28 |