| NPI | 1538554845 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: KY 50565) |
| Additional Taxonomies | 207PS0010X Emergency Medicine, Sports Medicine (Licence: KY 50565) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-04-02 |
| Last Update Date | 2020-12-10 |