| NPI | 1538350996 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PS0010X Emergency Medicine Sports Medicine (Licence: LA MD.201761) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: LA MD.201761) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: LA PGY.2.LSUN-EMED) | |
| 207PE0004X Emergency Medicine Emergency Medical Services (Licence: LA MD.201761) | |
| Enumeration Date | 2007-08-09 |
| Last Update Date | 2023-08-18 |