| NPI | 1720434509 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NM MD2022-1380) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 312525) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: NC 218765) | |
| Enumeration Date | 2016-05-10 |
| Last Update Date | 2022-11-30 |