| NPI | 1245490051 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NC 2015-02476) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: VA 0101249881) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: VA 0116020451) | |
| Enumeration Date | 2008-06-15 |
| Last Update Date | 2025-01-14 |