| NPI | 1477949295 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: VA 0101271547) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MD464746) |
| 2083A0300X Preventive Medicine, Addiction Medicine (Licence: MD D0090980) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-04-08 |
| Last Update Date | 2023-06-20 |