| NPI | 1245791292 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: VT 042.0018469) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 334993) |
| 207P00000X Emergency Medicine (Licence: MA 290955) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2019-03-30 |
| Last Update Date | 2025-10-09 |