| NPI | 1316384886 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MO 2017013147) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CT 055291) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: CT 000000) | |
| Enumeration Date | 2013-05-23 |
| Last Update Date | 2017-10-03 |