| NPI | 1487858544 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PR 11437I) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PR 26840R) |
| 207P00000X Emergency Medicine (Licence: NM MD2009-0265) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: PR 11437I) | |
| Enumeration Date | 2007-06-13 |
| Last Update Date | 2010-02-03 |