| NPI | 1316114614 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL ME109611) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL ME109611) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: FL TRN12327) | |
| Enumeration Date | 2008-05-15 |
| Last Update Date | 2023-09-19 |