| NPI | 1528294659 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL ME120954) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: VA 0101248333) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: VA 0116021258) | |
| Enumeration Date | 2009-06-03 |
| Last Update Date | 2023-04-11 |