| NPI | 1710148762 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 248638-1) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NY 248638-1) |
| Enumeration Date | 2008-06-23 |
| Last Update Date | 2010-05-10 |