| NPI | 1447646161 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: VA 0101266944) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: SC MD82212) |
| 207P00000X Emergency Medicine (Licence: FL ME140712) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 207P00000X Emergency Medicine (Licence: CA A148631) | |
| Enumeration Date | 2015-04-09 |
| Last Update Date | 2019-06-06 |