| NPI | 1285954677 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX R2425) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: VA 0101252515) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: VA 0116022747) | |
| Enumeration Date | 2010-06-08 |
| Last Update Date | 2019-03-14 |