| NPI | 1275897787 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171000000X Military Health Care Provider (Licence: VA 274539-1) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX T3242) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2012-06-28 |
| Last Update Date | 2022-12-05 |