| NPI | 1396001863 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PH0002X Emergency Medicine, Hospice and Palliative Medicine (Licence: CT 86021) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 282416) |
| 207P00000X Emergency Medicine (Licence: FL 126241) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 207P00000X Emergency Medicine (Licence: CA 157521) | |
| Enumeration Date | 2012-04-09 |
| Last Update Date | 2026-09-03 |