| NPI | 1578859120 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: LA MD.206772) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: LA 206772) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: FL TRN16310) | |
| Enumeration Date | 2011-06-22 |
| Last Update Date | 2020-12-29 |