| NPI | 1669619326 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NH 18574) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: RI MD14029) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: NY 926758) | |
| Enumeration Date | 2009-01-15 |
| Last Update Date | 2024-05-02 |