| NPI | 1265878573 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 295970) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: RI MD15406) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: TX BP10046561) | |
| Enumeration Date | 2013-05-14 |
| Last Update Date | 2018-11-15 |