| NPI | 1639735350 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: SC 87945) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 318495) |
| 363AM0700X Physician Assistant, Medical (Licence: NY 318495) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2019-05-17 |
| Last Update Date | 2023-08-04 |