| NPI | 1265727622 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A148663) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NJ 000000) |
| 208600000X Surgery (Licence: PA MT200429) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MT200429) | |
| Enumeration Date | 2011-06-14 |
| Last Update Date | 2023-05-02 |