| NPI | 1699974469 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 273962) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A105663) |
| 207P00000X Emergency Medicine (Licence: CT 48914) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2007-07-12 |
| Last Update Date | 2021-02-23 |