| NPI | 1538507272 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CT 055112) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CT 000000) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2013-06-04 |
| Last Update Date | 2016-06-29 |