| NPI | 1255565719 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX P3090) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: FL ME 112168) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2009-05-12 |
| Last Update Date | 2012-08-30 |