| NPI | 1245593797 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: LA 311938) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NC 2014-01883) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: NC 182605) | |
| Enumeration Date | 2012-06-20 |
| Last Update Date | 2019-08-06 |