| NPI | 1437383916 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: GA 78310) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA OS016370) |
| 207P00000X Emergency Medicine (Licence: NY 62274067) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2009-05-12 |
| Last Update Date | 2017-11-10 |