| NPI | 1255699377 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MT 63900) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IA R-9489) |
| 207P00000X Emergency Medicine (Licence: IA MD-42440) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2012-04-26 |
| Last Update Date | 2021-05-18 |