| NPI | 1538508569 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: FL ME128027) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: FL ME128027) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: FL TRN18874) | |
| Enumeration Date | 2013-06-24 |
| Last Update Date | 2018-08-02 |