| NPI | 1679968945 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 291780) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MN F346091909413) |
| Enumeration Date | 2015-04-02 |
| Last Update Date | 2019-04-10 |